1. Thomas A. Bauer, University of Vienna Visiting Professor at Fudan University, Shanghai Lecture Dec 09 www.thomasbauer.at www.thomasbauer.at

2. www.thomasbauer.at AS MODEL OF KNOWLEDGE : Health and Illness: culturally programmed, interpretative configurations to order and to value H/I in relation to the meaning of life: H/I Concepts of Life facing the uncertainty of its meaning – in individual as in social-collective / cultural context of life AS MODEL OF EVIDENCE : Health and Illness: In formal languages defined complex in order to classify and the state and the process of life in the interest of counting chances and risks: Organizational concepts of definition (normatization) of style and way of life

3. www.thomasbauer.at HEALTH INTUITIVE KNOWLEDGE SCIENTIFIC KNOWLEDGE HEALTH / ILLNESS DISTINCTION AS CONCEPTS OF LIFE COMMUNICATION INTUITIVE COMMUNICATI0N ORGANIZATIONAL DISCOURSE DISTINCTION IN CONSIDERATION OF LIFE

4. HEALTH AS A SOCIO-CONTEXTUAL GOOD PUBLIC GOOD PERSONAL GOOD POLIT-ECONOMICAL DISCOURSE PRIVATE MILIEU DISCOURSE Public Health Care Concepts Health Care Management Application Individual Care Personal Style of Life

5. Communication Knowledge between Vision and Reality Vision of Meaning of Communication Real Model – Communication Practice Scient. Knowledge Intuitive Theories Notion of Norms Empirical Analysis Critical Reflection Pragmatism

6. Health/Illness Concept - Communicatively Generated Knowledge Ideal Notion of Health Real Health Behaviour Scientific Knowledge Alltagswissen Organization of normative discourse Social distribution of organi- zational knowledge on H/I Cultural norm-discourse Social distribution of everyday cultural knowledge

7. Health-/ Illness Concepts - Knowledge in Codes of Domination Ideal Model: Meaning of Health Real Model – Health Management Scientific Knowledge Intuitive Knowledge Organisation of normative discourse Social Distribution of Organizational knowledge Cultural normative discourse Social distribution of intuitive theories

8. HEALTH-/ ILLNESS KNOWLEDGE BETWEEN ORGANIZATION AND COMMUNICATION Context of Life -Individual as Patient Nurse Physician Management DISTRIBUTION OF COMPETENCE THROUGH COMMUNICATION Hospital Organisation

9. COMMUNICATION as Mode of Collectivization of Meaning www.thomasbauer.at CONGRUENCE-COMMUNICATION : Collectivization through similarity, congruence, affirmation, hierarchy as prevention of surprise: identity-partnership: we belong together, because we are similar: Definition of truth via prove of identity (closed social model: border as separation, distinction, territorialization) UNITY- PERSPECTIVE DIFFERENCE-COMMUNICATION : Collectivization of difference and diversity, construction of reality, Heterarchy as source of surprise. Partnership made of difference: we belong together, because we need each other because we: truth vis prove of dialogue (open social model: border as source of differentiation: you are for me an interesting partner, because you think different DIVERSITY-PERSPECTIVE

10. www.thomasbauer.at HIERARCHY HETERARCHY DISTANCE CLOSENESS

11. www.thomasbauer.at HIERARCHY HETERARCHY DISTANCE CLOSENESS Regulating Discourse Contacting Discourse Administrating Discourse Partizipatiing Discourse

12. CONGRUNCE-COMMUNICATION: DISCOURSE Power, weakness, comsequences – Communication as determination? Physician – Patient: Varying Knowledge, SAME Interpretation? Physicion – Nurse: Differing Competence, SAME Decision? Phycician/Nurse - Management: Different Fields of Responsibility, SAME Criteria? Hospital – Public Sphere: Manifold Stakes , SAME Strategies? www.thomasbauer.at

13. DIFFERENCE–COMMUNICATION: DIALIGUE POWER, WEAKNESS, CONSEQUENCES – Communication as Negotiation? Physician – Patient: Varying Knowledge, Common Interpretation? Physician – Nurse: Differing Competences, COMMON Decision? Physician/Nurse– Management: Different Fields of Responsibility, Common Criteria? Hospital – Public Sphere: Different stakes, COMMON Strategies? www.thomasbauer.at